Dennis, Frederick Theodore

Dennis, Frederick Theodore is an individual health care provider with primary practice located at 18321 Clark St , Tarzana CA 91356-3501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dennis, Frederick Theodore can be contacted via phone (818) 708-5170.

Contact Information

Primary practice address
18321 Clark St Tarzana CA 91356-3501
Phone: (818) 708-5170
Fax: (818) 705-2595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A37860 California

Profile Details

NPI number 1033157003
LBN Legal business name Dennis, Frederick Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jun 13th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033157003 NPPES
California MEDICAID 00A378600

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